MAT SU VALLEY MEDICAL CENTER LLC NPI 1932282472

NPI Information

  • NPI: 1932282472
  • Provider Name: MAT SU VALLEY MEDICAL CENTER LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 950 BOGARD RD
    WASILLA, AK
    ZIP 99654
  • Phone: (907) 352-2888

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NPI Details

MAT SU VALLEY MEDICAL CENTER LLC is a durable medical equipment medical supplies in Wasilla, AK. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MAT SU VALLEY MEDICAL CENTER LLC NPI is 1932282472. The provider is registered as an organization entity type.

The provider's business location address is:

950 BOGARD RD
WASILLA, AK
ZIP 99654-105
Phone: (907) 352-2888

The provider's authorized official is Laurie Holtsford .
The authorized official title is Director, Business Office Support and has the following contact phone number (615) 465-7488.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 11/5/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14810400001MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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